Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 35271 | MN |
N | 207PP0204X | Pediatric Emergency Physician | 35271 | MN |
N | 208000000X | Pediatrician | 35271 | MN |
Y | 2080P0204X | Pediatric Emergency Doctor | 35271 | MN |
NPI | 1063599108 |
---|---|
Provider Name | Thomas R Hellmich |
First Address | Rochester, MN 55905-0001 |
Second Address | Rochester, MN 55905-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 07/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F08016 | (02) |